Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Parke, MD

Individual provider Surgery Physician · NPI 1669886537

Dr. Jacob Parke, MD is an Urology in Coconut Creek, Florida. Graduated from Southern Illinois University School of Medicine in 2014, 12 years ago. Practices with Urology Medical Specialists, PA, an 11-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Michigan and Missouri.

Years since qualifying
12
Trained at
Southern Illinois University School of Medicine
Licensed in
FL, MI, MO
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414
Phone: (954) 943-1133
Fax: (954) 783-6845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1601 Clint Moore Rd Ste 195, Boca Raton, FL 33487-5716 — (561) 495-7570
  • 601 E Sample Rd Ste 105, Deerfield Beach, FL 33064-4443 — (954) 943-1133
  • 5258 Linton Blvd Ste 203, Delray Beach, FL 33484-6529 — (561) 495-7570

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME154933 (FL)
Surgery Physician Taxonomy 208600000X · Licence 4301105492 (MI)
Urology Physician Taxonomy 208800000X · Licence 2019024767 (MO)

Record details

NPI number1669886537
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 18, 2014
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address4515 Wiles Rd Ste 201, Coconut Creek, FL 33073-3414

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Urology Medical Specialists, Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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